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1386657955
KEVIN EDWARD HARDY
MYRTLE BEACH, SC
NPI
1386657955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: SC 4242)
Enumeration Date
2006-08-14
Last Update Date
2007-07-08
Business Address
KEVIN EDWARD HARDY
1317 N KINGS HWY SUITE 106
MYRTLE BEACH, SC 29577-3636
Phone number: 843-626-5437
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Mailing Address
KEVIN EDWARD HARDY
415 N GRAND AVE
PUEBLO, CO 81003-3111
Phone number: 719-546-3333
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